面向吞咽功能障碍康复诊疗的群体智慧学习进化方法研究

Stroke is the most popular geriatric, as well as, dysphagia is the most common sequelae of stroke, which seriously affect elderly patients’ life quality and the development of the national economy. The research in the related fields started later in China, the disease diagnosis and treatment work mostly rely on expert experience, where the science and accuracy needs to be improved. The accurate diagnosis model and the group therapy intelligence learning-evolutionary method is the key assurance to share the dysphagia’s treatment intelligence. The project team will carry out theoretical researches for dysphagia’s diagnosis classifier, group intelligence learning and evolutionary methods to solve the key scientific problems, such as: extract the nonlinear and implicit information from the high dimensional data, describe the group intelligence learning strategies towards the multiple-attribute decision-making problems and present the rules driving group intelligence evolutionary mechanisms, realizing a kind of group intelligence learning- evolutionay methods. Combining the actual needs and the theoretical researches, the communication and application verification towards dysphagia’s diagnosis and treatment is constructed, providing effective theoretical basis and technical guidance for rehabilitation medicine development.

脑卒中（脑中风）是我国最常见的老年病，吞咽功能障碍作为最常见的脑卒中后遗症，严重影响老年患者的生活质量和国民经济发展。我国对相关领域的研究起步较晚，目前对该症的诊疗工作大多依赖专家医师经验，科学性与准确性有待提升。精确的诊断模型与完善的群体治疗智慧学习进化方法是保证吞咽功能障碍诊疗智慧共享和传播的关键环节。项目组将针对吞咽功能障碍诊断分型建模方法、群体智慧学习方法、群体智慧进化方法等内容开展理论研究工作，着重解决面向高维样本数据中非线性特征和隐含信息提取的分类器建模、面向多属性决策的群体智慧涌现机制与学习策略、基于关联规则驱动的群体智慧进化机制等关键科学问题，形成一套面向吞咽功能障碍诊疗的群体智慧学习进化理论方法与体系。并且将项目理论研究与实际需要紧密结合，实现吞咽功能障碍诊疗智慧的传播与应用验证，为我国老年病康复医学的发展提供坚实的理论基础及技术指导。

脑卒中后遗症吞咽功能障碍康复诊疗的科学性与准确性至关重要。项目组针对吞咽功能障碍诊断分型建模方法、群体智慧学习方法、群体智慧进化方法等内容开展理论研究工作，着重解决面向高维样本数据中非线性特征和隐含信息提取的分类器建模、面向多属性决策的群体智慧涌现机制与学习策略、基于关联规则驱动的群体智慧进化机制等关键科学问题，形成了一套面向吞咽功能障碍诊疗的群体智慧学习进化理论方法与体系。 .本项目研究成果为诊断分型、群决策治疗方案制订以及针灸治疗手法参数提取等基础科学方面提供了有力的路径。将本项目成果应用于中日友好医院康复科、北京市中关村医院针灸推拿科的脑卒中后吞咽障碍患者的诊断和康复治疗工作中，取得了诊断准确率>85%，针灸治疗方案的预后有效率100%的喜人成果。此外，针灸教学仪应用于北京中医药大学刘存志教授团队，用于提取专家的针刺手法。但是上述成果还需要进一步精进，提高，做到更符合医师的诊疗习惯，更贴近实际诊疗环境，才能为我国老年病康复医学的发展更好提供有效的理论基础准备及技术指导。